Active NPI
Anne Marie Farrell, NP
- Family Nurse Practitioner
- Independence, MO
National Provider Identifier
1922561729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019007201
- Practice address
- 19550 E 39TH St S Ste 200
Independence, MO 64057-2358 - Phone
- (816) 350-4200
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 14-148222-021 | KS | |
| Registered Nurse | 163W00000X | 2011023599 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2019007201 | MO | Primary |
Addresses
Primary practice location
19550 E 39TH St S Ste 200
Independence, MO 64057-2358
Mailing address
19550 E 39TH St S Ste 200
Independence, MO 64057-2358
Phone (816) 350-4200
Other names 1
- Anne Marie Jacquin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ANNE.FARRELL@hca2.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-148222-021 | KS | MD | Registered Nurse |
| 2019007201 | MO | MD | Family Nurse Practitioner |
Interoperability endpoints
- anne.farrell@hca2.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1922561729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S STE 200",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572358",
"telephone_number": "816-350-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S STE 200",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572358",
"telephone_number": "816-350-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "ANNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-148222-021",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2011023599",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019007201",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ANNE.FARRELL@hca2.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "19550 E 39th St S Ste 200",
"city": "Independence",
"state": "MO",
"country_code": "US",
"postal_code": "640572358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANNE",
"last_name": "JACQUIN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.